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Time to drive personalisation
- Author:
- HOPE Phil
- Journal article citation:
- Community Care, 5.2.09, 2009, p.30.
- Publisher:
- Reed Business Information
A key finding from the evaluation of the individual budget pilots suggested that many older people and their carers did not want the additional burden that they associated with planning and managing their own support. This article provides some tips to help older people, their carers and their families experience the benefits of personalisation. These include: taking a person-centred approach; remaining flexible; and providing choice for older people on managing the money they are given through personalisation.
Personalisation briefing: implications for residential care homes
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, NATIONAL CARE FORUM
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- London
This briefing summarises the implications of the personalisation agenda for residential care homes. The briefing covers the importance of person-centred and relationship-centred care, the consequences of transformation and change for care homes, ensuring positive transitions into residential care and of quality of life for residents. An update to this briefing is provided by 'Person-centred care for older people in care homes’, published by SCIE in 2017.
What works well in community care: supporting older people in their own homes and community networks
- Authors:
- SEDDON Diane, HARPER Graham
- Journal article citation:
- Quality in Ageing, 10(4), December 2009, pp.8-17.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This paper presents findings from a qualitative study that sought to identify what works well in supporting older people to live in their own homes and local communities. Data was collected from 6 focus groups convened with key stakeholders: 2 with older people, 2 with carers, 1 with direct service providers, and 1 with care managers. When considering what helps older people to live in their own homes and local communities the themes that emerged from the focus groups were person-centred support, maintaining community connections, and flexible support arrangements. To be effective, support needs to be underpinned by a person-centred approach which takes into account individual preferences and priorities, and is organised locally to where older people live. Statutory organisations are often constrained by restrictive thinking and financial pressures lead to resource-centred rather than person-centred responses to individuals in need. The findings suggest that commissioners of services should be more creative in developing flexible providers in local communities. The potential of an action research programme to explore these ideas and enable processes for development, outcomes for older people, their carers and the communities in which they live, as well as the costs, to be tested comparatively with traditional services is noted.
The graying of HIV/AIDS: preparedness and needs of the aging network in a changing epidemic
- Authors:
- EMLET Charles A., GERKIN Amanda, OREL Nancy
- Journal article citation:
- Journal of Gerontological Social Work, 52(8), November 2009, pp.803-814.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The number of older adults (aged 50 years and over) living with HIV/AIDS has increased consistently during the last decade, and between 2001 and 2007 the estimated number of older people living with HIV/AIDS in the US increased from 65,445 to 156,511. This study examined the extent to which 13 Area Agencies on Aging (AAAs) in Washington State are prepared and have the required experience and skills to serve older adults with a diagnosis of HIV/AIDS, using a survey of staff at AAAs, and looked at the potential impact further implementation of Aging and Disability Resource Centers (designed to enhance access to community living, to deliver person centred information to individuals needing services, and to serve as an entry point for streamlined access to public or private resources) might have on service delivery. The majority of respondents agreed that serving HIV positive older adults was consistent with their mission but few indicated that they had substantial experience with this population. The authors make recommendations for improving service delivery, and conclude that the results of this pilot study support the feasibility of an expanded study.
How social workers demonstrate respect for elderly clients
- Authors:
- SUNG Kyu-taik, DUNKLE Ruth E.
- Journal article citation:
- Journal of Gerontological Social Work, 52(3), April 2009, pp.250-260.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Although respect is a crucial aspect of social work practice, few studies have examined how social workers convey their respect for elderly clients. This study explored the various forms of respect demonstrated by social workers when they were with older clients. Fifty social workers serving elderly clients were surveyed by a questionnaire with closed- and open-ended questions. Based on data on ways the social workers respected their elderly clients, the study identified 7 forms most frequently practiced and considered most important. They are linguistic respect, care respect, acquiescent respect, salutatory respect, presentational respect, spatial respect and consultative respect. The key expressions of these forms are introduced in quantitative data and a narrative form. These findings provide insight as to how social workers exhibit respect for elderly clients in their practice. The results of this exploration may be useful in developing a more comprehensive typology of the forms signifying respect for elderly clients.
Emily’s safety
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
Actors have been used in this short film. The film portrays Emily, who at 94 is a new resident of a care home, and the staff who care for her. The context of the drama is the balancing of risks and freedoms for Emily. She wants to continue making tea for herself each morning, despite the risks of falls or scalds, and the staff team are anxious to ensure that arrangements are made which keep Emily safe. Scene by scene, the film introduces some of the key principles of the Mental Capacity Act. During the decision-making process, consideration is given to the risk of harm to Emily, balanced against her right to freedom of action. Tensions are explored around whether or not Emily lacks capacity to make a decision. In the final scenes a best interests decision is made on Emily’s behalf. This film has now been reviewed and is available under the new title 'Personalisation: promoting independence in care homes'.
Personalisation for older people: residential care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
The film is introduced by the manager of a residential care home for older people with dementia who talks about the importance of understanding the individual, their interests, background and personal history. The benefits of this approach are illustrated by Marjorie’s story. Marjorie has been supported and encouraged to take up her interest in music again and it has brought pleasure to her life. There is an emphasis on relationship-based, individual person-centred care, rather than a functional approach to basic personal care. This is important to maintaining dignity and well-being. The latter half of the film looks at the family and carer support that the service also provides as part of person-centred care.
Assisting spirituality in residential establishments: the Abbeyfield Kent Society and parish-based care homes in Gillingham
- Author:
- COLLYER Michael
- Publisher:
- Church Army
- Publication year:
- 2009
- Pagination:
- 35p.
- Place of publication:
- Sidcup
This paper explores the work done by Sister Julia Crathorn, a Church Army evangelist, in promoting Christian spirituality among older people in residential care homes. This involves two projects, the Abbeyfield Kent Society and ASPIRE (Assisting Spirituality in Residential Establishments).
Good practice in relation to working with older people experiencing dementia
- Author:
- ROGER ROWETT AND ASSOCIATES
- Publisher:
- Care Council for Wales
- Publication year:
- 2009
- Pagination:
- 110p.
- Place of publication:
- Cardiff
This study was commissioned in order to identify and promote good practice in relation to working with older people experiencing dementia. The study was conducted in a number of Welsh locations and involving a range of different organisations such as social services, housing associations, residential care homes, community care providers and charities. The study was in three phases. First the study collated a directory of resources and existing good practice. These included good practice guidelines, worksheets, audit tools, training materials, templates, toolkits and books. The study then identified which ‘person-centred’ tools and approaches were most effective. Finally the study gathered feedback on approaches from participants using log sheets, manager questionnaires; and direct responses from staff, managers, and other key stakeholders. Recommendations centre on the quality of time spent between carer and service user and specifications for future tools.
Caring for older people in the community
- Editors:
- HUDSON Angela, MOORE Lesley, (eds.)
- Publisher:
- Wiley-Blackwell
- Publication year:
- 2009
- Pagination:
- 245p.
- Place of publication:
- Chichester
This book is a compilation from 9 academics and practitioners, including the two editors. The first section (Chapters 1-3) discusses the past and current influences on physical, psychological and social ‘nursing’ practices and ethical tensions, when working with older people. Topics covered in the second section (chapters 4-6) with regard to contemporary challenges with older people who may have learning disabilities and dementia as well as experiencing ageing are, health education, sexual health, substance misuse, and the role of assistive technology. Examples of lived scenarios from service users and reflections from professionals are included. Current issues of kinship care for older people, ethics, palliative care and end of life decision making, complementary therapies, vulnerability, citizenship, informed consent, advocacy, empowerment, personalisation and a person centre approach are also mentioned. The third section from the joint editors, is on future challenges and covers: community hospitals, bringing diagnostic technology and chemotherapy interventions closer to cancer patients, the national panel for information and communications technology, ‘whole system demonstrators’, moving towards seamless care, and partnership with older people projects.